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Under-reporting of foetal alcohol spectrum disorders: an analysis of hospital episode statistics

机译:胎儿酒精谱系疾病报告不足:医院发作统计数据分析

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Background Internationally, 0.97 per 1,000 live births are affected by foetal alcohol syndrome (FAS). However, prevalence intelligence has been limited in the UK, hindering the development of appropriate services. This analysis compares hospital admissions over time, between regions and with alcohol-related admissions for adult females to assess whether established patterns (such as the North experiencing elevated harms) can be identified. Methods A retrospective analysis of hospital admissions data (April 2002 to March 2008) for foetal alcohol spectrum disorder (FASD)-related conditions: foetal alcohol syndrome (dysmorphic) (n = 457); foetus and newborn affected by maternal use of alcohol (n = 157); maternal care for (suspected) damage to foetus from alcohol (n = 285); and 322,161 women admitted due to alcohol-related conditions. Results Whilst the rate of admission for alcohol-related conditions in women aged 15-44 years increased significantly by 41% between 2002/03 and 2007/08 (p Conclusions It would be expected that the North West and North East regions, known to have higher levels of alcohol harm would have higher levels of FASD-related conditions. However, this was not reflected in the incidence of such conditions, suggesting under-reporting. With incomplete datasets, intelligence systems are severely limited, hampering efforts to develop targeted interventions. Improvements to intelligence systems, practitioner awareness and screening are essential in tackling this.
机译:背景技术国际上,每千名活产婴儿中有0.97人受到胎儿酒精综合症(FAS)的影响。但是,英国的流行情报有限,阻碍了适当服务的发展。该分析比较了地区之间随时间推移的住院病人数以及成年女性与酒精相关的住院病人数,以评估是否可以确定既定的模式(例如北部遭受严重伤害)。方法回顾性分析2002年4月至2008年3月因胎儿酒精性谱障碍(FASD)而患病的住院数据:胎儿酒精综合症(畸形)(457例);孕妇和新生儿受到酒精影响的胎儿和新生儿(n = 157);酒精对胎儿的(可疑)损害的产妇护理(n = 285); 322,161名因酒精相关疾病而入院的妇女。结果在2002/03年至2007/08年间,年龄在15-44岁之间的女性中与酒精有关的疾病的入院率显着增加了41%(p结论预计西北地区和东北地区已知有酒精危害水平越高,与FASD相关的疾病水平越高,但是这种情况的发生并未反映出来,这表明报告不足。由于数​​据集不完整,情报系统受到严重限制,阻碍了有针对性的干预措施的开发。改进情报系统,从业人员意识和筛选对于解决这一问题至关重要。

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